Document Detail


Effects of a replication of a multicomponent model for preventing adolescent pregnancy in three Kansas communities.
MedLine Citation:
PMID:  10435217     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: A significant amount of attention has been devoted to the complex issue of teenage pregnancy and to programs for reducing pregnancy among adolescents. Careful evaluations of such programs are needed to ascertain what strategies will be most effective at reducing teenage pregnancy. METHODS: A pretest-posttest comparison group design was used to analyze the effects of a comprehensive multicomponent school and community intervention on estimated pregnancy rates and birthrates among young people in three Kansas communities: Geary County, Franklin County and selected neighborhoods of Wichita. RESULTS: There were high levels of program activity in all three communities during the intervention period, including teacher training and sexuality education for students. Survey respondents rated highly such project interventions as the extension of school-linked clinic hours to accommodate student schedules and support groups established in middle schools. Between 1994 and 1997, the proportions of adolescents reporting that they had ever had sex decreased significantly among all ninth and 10th graders in Geary County, from 51% to 38% among females and from 63% to 43% among males. In Franklin County, more males in grades 11 and 12 reported using condoms in 1996 (55%) than had done so in 1994 (39%). Age at first intercourse remained relatively stable in Franklin and Geary counties during the intervention period. The estimated pregnancy rate among adolescents aged 14-17 decreased between 1994 and 1997 in Geary Country, while it increased in comparison areas. The estimated pregnancy rates among 14-17-year-olds decreased in both Franklin County and its comparison communities. The birthrate declined both in one target area of Wichita and in its comparison area from 1991-1993 to 1994-1996. Over the same time period, the birthrate increased in a second target area of Wichita, while it decreased in the comparison community. CONCLUSIONS: This evaluation of a comprehensive multicomponent program for adolescent pregnancy prevention contributes to our understanding of this model and its replicability in diverse communities. Ongoing program evaluation is important for developing initiatives and for refining strategies so they respond to local conditions.
This paper evaluates a multi-component program for reducing pregnancy among adolescents in the US. The study employed a pretest-posttest comparison group design to analyze the effects of a comprehensive multi-component school and community intervention on estimated pregnancy rates and birthrates among young people in three Kansas communities: Geary County, Franklin County and selected neighborhoods of Wichita. Results revealed high levels of program activity in all three communities during the intervention period, including teacher training and sexuality education for students. From 1994-97, the proportion of adolescents who reported that they had experienced sex decreased significantly among all 9th and 10th graders in Geary County. Condom use among males in grades 11 and 12 in Franklin County increased from 39% in 1994 to 55% in 1996. In Franklin County and its comparison areas, the estimated pregnancy rates decreased among adolescents aged 14-17 years. The birthrate declined both in one target area of Wichita and in its comparison area from 1991-93 and 1994-96. In general, this research contributed to an understanding on the impact of multi-component school- and community-based interventions on adolescent pregnancy rates.
Authors:
A Paine-Andrews; K J Harris; J L Fisher; R K Lewis; E L Williams; S B Fawcett; M L Vincent
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Family planning perspectives     Volume:  31     ISSN:  0014-7354     ISO Abbreviation:  Fam Plann Perspect     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-09-16     Completed Date:  1999-09-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0241370     Medline TA:  Fam Plann Perspect     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  182-9     Citation Subset:  IM; J    
Affiliation:
Work Group on Health Promotion & Community Development, University of Kansas, Lawrence, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Birth Rate
Consumer Participation*
Contraception Behavior
Family Planning Services / organization & administration*
Female
Health Plan Implementation
Humans
Kansas
Male
Organizational Objectives
Outcome and Process Assessment (Health Care)*
Pregnancy
Pregnancy Rate
Pregnancy in Adolescence / prevention & control*,  statistics & numerical data
School Health Services / organization & administration*
Sexual Behavior

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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